Those with traumatic iridodialyses (particularly by blunt trauma) are at high risk for angle recession, which may cause glaucoma.[3] This is typically seen about 100 days after the injury, and as such is sometimes called "100-day glaucoma". Medical or surgical treatment to control the IOP may be required if glaucoma is present.[7] Soft, opaque contact lenses may be used to improve cosmesis and reduce the perception of double vision.[7][3]
Iridodialysis causing an associated hyphema has to be carefully managed, and recurrent bleeds should be prevented by strict avoidance of all sporting activities. Management typically involves observation and bed rest. Red blood cells may decrease the outflow of aqueous humor, therefore the eye pressure should be kept low by giving oral acetazolamide (a diuretic given to reduce intraocular pressure). Accidental trauma during sleep should be prevented by patching with an eye shield during night time. Avoid giving aspirin, heparin/warfarin and observe daily for resolution or progression. A large hyphema may require careful anterior chamber washout. Rebleeds may require additional intervention and therapy.
Later, surgical repair may be considered for larger avulsions causing significant double vision, cosmesis or glare symptoms.[4] Surgical repair is usually done by 10-0 prolene suture taking the base of iris avulsion and suturing it to the scleral spur and ciliary body junction.
^Kenney, KS; Fanciullo, LM (2005). "Automobile air bags: friend or foe? A case of air bag-associated ocular trauma and a related literature review". Optometry. 76 (7): 382–6. doi:10.1016/j.optm.2005.06.001. PMID16038865.
^Gracner, B; Pahor, D (2001). "Bilateral eye injury caused by a high-pressure water jet from a fire hose". Wiener Klinische Wochenschrift. 113 Suppl 3: 62–4. PMID15503624.
^Viestenz, A; Küchle, M (2002). "Ocular contusion caused by elastic cords: a retrospective analysis using the Erlangen Ocular Contusion Registry". Clinical & Experimental Ophthalmology. 30 (4): 266–9. doi:10.1046/j.1442-9071.2002.00529.x. PMID12121366.
^Chorich Lj, 3rd; Davidorf, FH; Chambers, RB; Weber, PA (1998). "Bungee cord-associated ocular injuries". American Journal of Ophthalmology. 125 (2): 270–2. doi:10.1016/S0002-9394(99)80111-1. PMID9467466.{{cite journal}}: CS1 maint: numeric names: authors list (link)
^Viestenz, A; Küchle, M (2002). "Eye contusions caused by a bottle cap. A retrospective study based on the Erlangen Ocular Contusion Register (EOCR)". Der Ophthalmologe. 99 (2): 105–8. doi:10.1007/s003470100504. PMID11871070.
^Bullock, JD; Ballal, DR; Johnson, DA; Bullock, RJ (1997). "Ocular and orbital trauma from water balloon slingshots. A clinical, epidemiologic, and experimental study". Ophthalmology. 104 (5): 878–87. doi:10.1016/s0161-6420(97)30218-8. PMID9160038.